| NPI | 1891042487 |
|---|---|
| Doing Business As | SUNNYSIDE HEALTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | ED JOHNSON CFO 503-742-5325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2012-08-14 |
| Last Update Date | 2019-09-24 |